理筋手法治疗颈椎病热点问题研究述评

作者：陈军涛1，周运峰1，许 辉1,2，周 航1，王 峥1，郭 娟1，李婉玉1

单位：1.河南中医药大学，河南 郑州 450003； 2.河南中医药大学第三附属医院，河南 郑州 450008

引用：引用：陈军涛，周运峰，许辉，周航，王峥，郭娟，李婉玉.理筋手法治疗颈椎病热点问题研究述评[J].中医药导报,2025,31(1):120-124,129.

DOI：10.13862/j.cn43-1446/r.2025.01.022

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摘要：理筋手法作为推拿重要分类之一，在颈椎病的临床中获得较多关注。以颈椎病为例，从理论层面探讨理筋手法的必要性、理筋与颈椎病筋伤，以及理筋手法治疗颈椎病的生物力学机制。同时在对理筋手法研究的理论基础上，从标准化角度入手，分析理筋时机、手法选择、理筋时间3个热点问题，并提出加强理筋手法作用合流研究、完善触诊评估系统、开展以时间为中心的研究3个思路，促进理筋手法的标准化研究。并进一步探讨了相关问题的具体解决方法，以促进理筋手法的发展和研究的深入。

关键词：颈椎病；理筋；推拿；述评

Abstract：

As one of the important classifications of massage, tendon manipulation has received more attention in the clinical practice of cervical spondylosis. Taking cervical spondylosis as an example, this paper discusses the necessity of tendon manipulation, tendon manipulation and cervical spondylosis, and the biomechanical mechanism of tendon manipulation in the treatment of cervical spondylosis from the theoretical level. At the same time, based on the theoretical basis of the research on tendon manipulation, from the perspective of standardization, this paper analyzes three hot issues of tendon timing, manipulation selection and tendon time, and puts forward three ideas to strengthen the research on the confluence of tendon manipulation, improve the palpation evaluation system, and carry out time-centered research, so as to promote the standardization of tendon manipulation. The specific solutions to the related problems are further discussed to promote the development of tendon manipulation and the deepening of research.

Key words：cervical spondylosis; tendon-soothing; massge; commentary

发布时间：2025-11-28

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